KELLIE COLLEEN VAIDYA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

INACTIVE

Business

First Name

KELLIE

Middle

COLLEEN

Last Name

VAIDYA

Business Name

KELLIE COLLEEN VAIDYA

Original Issue Date

10/04/2017

Effective Date

05/07/2022

Expiration Date

05/31/2024

City

BERWYN

State

Zip

60402

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2022